Individual
MS. CAROL DIANE ATCHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDLD, CSO, CDE, CNSD
Contact information
Practice address
5957 W. 33RD SOUTH, IDAHO FALLS, ID 83402-5682
(208) 313-1994
(208) 552-3341
Mailing address
5957 W. 33RD SOUTH, IDAHO FALLS, ID 83402-5682
(208) 313-1994
(208) 552-3341
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-278
ID
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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